Lumbar intervertebral disc calcification with massive herniation: a case report

An 18-year-old female patient presented with a 1-month history of low back pain, which had worsened and was accompanied by radiating pain in the right lower limb for half a month. She was admitted to our hospital with computed tomography and magnetic resonance imaging findings suggesting calcificati...

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Main Authors: Junxin Chen, Kangmao Huang, Song Dai, Yuanhang Chen, Wenbin Xu, Xiangqian Fang
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605241311772
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author Junxin Chen
Kangmao Huang
Song Dai
Yuanhang Chen
Wenbin Xu
Xiangqian Fang
author_facet Junxin Chen
Kangmao Huang
Song Dai
Yuanhang Chen
Wenbin Xu
Xiangqian Fang
author_sort Junxin Chen
collection DOAJ
description An 18-year-old female patient presented with a 1-month history of low back pain, which had worsened and was accompanied by radiating pain in the right lower limb for half a month. She was admitted to our hospital with computed tomography and magnetic resonance imaging findings suggesting calcification of the L3/4 disc and a large intraspinal mass at the L2–4 level. The patient’s symptoms did not improve with conservative treatment, and her muscle strength rapidly declined. Therefore, a right-sided L3 laminotomy was performed for decompression. Intraoperatively, a cystic intraspinal mass with calcification was observed, and upon incision, a toothpaste-like substance flowed out. Pathological examination revealed fibrous tissue with glassy deposits and calcifications. Postoperatively, the patient’s symptoms resolved completely, with no recurrence observed at the 2-month follow-up and complete resorption of the calcification at the L3/4 disc. Idiopathic intervertebral disc calcification with massive herniation poses a risk of permanent nerve function loss, and timely decompression is recommended to ensure a good prognosis.
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institution Kabale University
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spelling doaj-art-e403f791ab604756b9cf7dff9c8451a02025-01-29T12:03:44ZengSAGE PublishingJournal of International Medical Research1473-23002025-01-015310.1177/03000605241311772Lumbar intervertebral disc calcification with massive herniation: a case reportJunxin ChenKangmao HuangSong DaiYuanhang ChenWenbin XuXiangqian FangAn 18-year-old female patient presented with a 1-month history of low back pain, which had worsened and was accompanied by radiating pain in the right lower limb for half a month. She was admitted to our hospital with computed tomography and magnetic resonance imaging findings suggesting calcification of the L3/4 disc and a large intraspinal mass at the L2–4 level. The patient’s symptoms did not improve with conservative treatment, and her muscle strength rapidly declined. Therefore, a right-sided L3 laminotomy was performed for decompression. Intraoperatively, a cystic intraspinal mass with calcification was observed, and upon incision, a toothpaste-like substance flowed out. Pathological examination revealed fibrous tissue with glassy deposits and calcifications. Postoperatively, the patient’s symptoms resolved completely, with no recurrence observed at the 2-month follow-up and complete resorption of the calcification at the L3/4 disc. Idiopathic intervertebral disc calcification with massive herniation poses a risk of permanent nerve function loss, and timely decompression is recommended to ensure a good prognosis.https://doi.org/10.1177/03000605241311772
spellingShingle Junxin Chen
Kangmao Huang
Song Dai
Yuanhang Chen
Wenbin Xu
Xiangqian Fang
Lumbar intervertebral disc calcification with massive herniation: a case report
Journal of International Medical Research
title Lumbar intervertebral disc calcification with massive herniation: a case report
title_full Lumbar intervertebral disc calcification with massive herniation: a case report
title_fullStr Lumbar intervertebral disc calcification with massive herniation: a case report
title_full_unstemmed Lumbar intervertebral disc calcification with massive herniation: a case report
title_short Lumbar intervertebral disc calcification with massive herniation: a case report
title_sort lumbar intervertebral disc calcification with massive herniation a case report
url https://doi.org/10.1177/03000605241311772
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AT kangmaohuang lumbarintervertebraldisccalcificationwithmassiveherniationacasereport
AT songdai lumbarintervertebraldisccalcificationwithmassiveherniationacasereport
AT yuanhangchen lumbarintervertebraldisccalcificationwithmassiveherniationacasereport
AT wenbinxu lumbarintervertebraldisccalcificationwithmassiveherniationacasereport
AT xiangqianfang lumbarintervertebraldisccalcificationwithmassiveherniationacasereport